Fernando Tardelli, MD, presented “Penile Filling with Hyaluronic Acid – Where are We” during the 44th Annual Ralph E. Hopkins Urology Seminar on February 7, 2025, in Jackson Hole, Wyoming.
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How to cite: Tardelli, Fernando. “Penile Filling with Hyaluronic Acid – Where are We.” February 7, 2025. Accessed Apr 2025. https://grandroundsinurology.com/penile-filling-with-hyaluronic-acid-where-are-we/
Penile Filling with Hyaluronic Acid – Where are We – Summary
Fernando Tardelli, MD, explores the controversial field of penile enlargement. In this 18-minute presentation, Dr. Tardelli discusses using hyaluronic acid (HA) fillers as a minimally invasive approach.
Dr. Tardelli begins with a historical perspective, highlighting the longstanding cultural and psychological significance of penile size. The talk differentiates between patients with true micropenis, those with perceived small penis syndrome, and those with body dysmorphic disorder, emphasizing the necessity of psychological evaluation before considering any intervention.
Hyaluronic acid fillers have emerged as a safe and reversible option for penile augmentation. Unlike permanent fillers such as PMMA, which have been banned in certain countries due to complications, HA offers biocompatibility, low risk, and reversibility through enzymatic degradation. Clinical studies demonstrate significant increases in penile girth with high patient satisfaction, even as the filler gradually resorbs over time. Adverse effects are minimal, primarily minor irregularities, edema, and occasional infections.
Dr. Tardelli underscores the importance of urologists leading this field rather than leaving it to non-specialists. Data from over 8,000 cases show promising outcomes with HA, particularly for patients with penile implants or post-surgical irregularities. Dr. Tardelli emphasizes the need for further multicenter clinical trials to refine techniques and establish long-term efficacy.
About The 44th Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 44th iteration of the meeting took place from February 5th to February 8th, 2025, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Fernando Tardelli, MD
Dr. Fernando Tardelli is a Brazilian urologist specializing in endourology, laparoscopic urology, and robotic surgery.
He currently serves as the coordinator and proctor of robotic surgery at Hospital São Luiz Anália Franco in São Paulo.
Graduating in Medicine from the University of Mogi das Cruzes in 2004, Dr. Tardelli obtained his specialist title in Urology from the Brazilian Society of Urology in 2010. In 2016, he became the head of the Laparoscopy and Robotic Surgery Service at UROSERV, where he continues practicing urological medicine.
Dr. Tardelli played a key role in implementing the Da Vinci Si robotic surgery system at Hospital São Luiz Anália Franco, making it the first in São Paulo’s Eastern Zone to have this cutting-edge technology. He performed the hospital’s first robotic urological surgery, a radical prostatectomy.
In addition to his clinical practice, Dr. Tardelli runs a blog called "Urologia Descontraída" ("Relaxed Urology"), where he discusses urological health topics in an accessible way for the public. He is also recognized for his attentive and informative approach to patient care, as reflected in positive reviews on platforms like Doctoralia.
